Record copies can be obtained only after a signed release is received by mail at the above address with a payment(based on State of Illinois regulations) of $57.75 for the first 100 pages. Additional pages over the first 100 are $0.33 per page. A copy of the entire chart is the only option available. The record service will no longer (after April 1, 2015) copy selected portions of charts. Some charts are voluminous! You will be billed @ $0.33 per page for pages over 100.

If you were not seen in the office after January 1, 2013 you mustindicate on your records request the year in which you last were seen in the office. Records with last visit before Sept 1, 2008 have been shredded.

Click on the "Down Load Records request" below to download and then print forms: